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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004104
Report Date: 03/21/2022
Date Signed: 03/21/2022 01:12:49 PM


Document Has Been Signed on 03/21/2022 01:12 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:SUNNY INFANT & PRESCHOOL CENTER (INFANT)FACILITY NUMBER:
384004104
ADMINISTRATOR:SIU CHING CHAN(MAJO)FACILITY TYPE:
830
ADDRESS:3300 BALBOA STREETTELEPHONE:
(415) 831-3300
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY:22CENSUS: 22DATE:
03/21/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Majo SiuTIME COMPLETED:
01:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mok conducted an unannounced case management inspection for the Action Level Exceedance(ALE) of Lead in a Child Care Center's water. LPA met with the Site Director, Majo Siu. The purpose of the inspection was explained to her. There were 22 children with 7 staff present.

LPA discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing,

Due to the results, CCL received a higher level of parts per billion(ppb) allowed, LPA inspected the facility for health and safety hazards. The facility was proactive in getting facility faucets tested. The facility received the ALE report from the Vendor on 3/18/2022. The facility took quick action to close the water fountain in the play yard in the first place. The licensee will remove the water fountain permanently. The children will bring their water bottles to the yard.

LPA obtained the copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketc (LIC999), and a copy of an email from California Rural Water Association during the inspection.



* See next page for deficiency cited today



This report and notice of Site visit were provided to the licensee and must remain posted for 30 days.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/21/2022 01:12 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066


FACILITY NAME: SUNNY INFANT & PRESCHOOL CENTER (INFANT)
FACILITY NUMBER: 384004104

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/25/2022
Section Cited

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101238 Buildings and Grounds
The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by
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Based on the results of the lead testing of water, the facility did not ensure to maintain a level to be under 5 ppb at the water fountain in the play yard. It poses potential health, safety, and personal Rights risk to persons in care.
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The facility will either provide results after the water is retested or a picture of the water fountain removal to CCL by April 4, 2022

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2022
LIC809 (FAS) - (06/04)
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